Significant Reductions in Binge Eating Occur After Weight Loss Surgery
Binge Eating Disorder is the most common eating disorder in the United States and is prevalent in up to 30% of those seeking weight loss treatment. Its prevalence in the population at large is eight percent. It can have an exclusive night eating or nocturnal component for some patients. It generally leads to obesity and can have a genetic component and also tends to be more common in women. Childhood obesity can be a risk factor. Usually the foods eaten are “comfort” foods. It is important to note that bingeing episodes can lead to a lack of proper nutrition; many of the “comfort” foods involved in binging can be high in fat, sugar, and/or salt, but low in vitamins and minerals.
Signs of binge eating disorder may include: Loss of control over eating during a binge, Eating large amounts of food and quickly, Eating when depressed, lonely or bored and Experiencing shame after binge eating. Currently, the DSM-IV (Psychiatric Manual) categorizes it under Eating Disorder Not Otherwise Specified. It is included as a diagnostic category for further study in DSM IV to have more specific diagnostic criteria.
Treatment options include: psychotherapy, overeaters anonymous meetings and other support modalities. Supportive and cognitive behavioral therapy can be very helpful, therapy in particular helps people track their feelings and behaviors towards food. Developing alternatives to stop emotional overeating is key to success such as: Exercise, reaching out to friends for support, recreational games, reading, listening to music and various other hobbies.
In addition helpful tips to stop overeating include:
-Slow down, and pause in between bites. The slower you eat, the more time your body has to catch up and tell you that you are full.
-Set your utensil down in between bites. Allow yourself to fully chew your food.
-Make it a habit to sit at a table and eat.
-Don’t eat while cooking. Tasting foods can add a lot of extra calories.
-Drink plenty of water.
For many patients who are obese after weight loss surgery can be a viable option to help. Bariatric surgery is effective in producing weight loss and abstinence in severely obese binge eating disorder, significant reductions in binge eating usually occur after obesity surgery in patients. In one study, binge eating was eliminated in all of 22 patients classified presurgically as binge eaters at a four-month-follow-up- post surgery.
Whether obesity leads to psychopathology, perhaps through discrimination and isolation or psychopathology leads to obesity the etiologies are multifaceted and are not clear. We need more research to learn about binge eating disorder and ways to help patients cope better with emotional stress, loneliness and boredom. Obesity is a national crisis and various treatment options including weight loss surgery can help.
Resource: Weight Loss Surgery
